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滁州市幼儿屈光不正相关因素的分析

Analysis of related factors for infant's ametropia in Chuzhou city

  • 摘要: 目的 分析滁州市幼儿屈光不正的相关因素,为针对性地制定幼儿屈光不正防控策略提供理论依据。方法 2017年7-8月,屈光筛查和问卷调查滁州市462名1~3岁儿童,采用Logistic回归分析家庭环境、围生期情况、婴儿期情况、幼儿日常生活情况等因素对幼儿屈光不正的影响。结果 共筛选出343名屈光正常与119名屈光不正幼儿。与屈光正常幼儿相比,屈光不正组幼儿母亲大专及以上文化程度(64.7% vs 52.8%)、只有父亲散光(3.2% vs 7.6%)、只有母亲散光(4.4% vs10.1%)、幼儿早产(8.4% vs 1.7%)、幼儿被动吸烟(38.7% vs 25.1%)、晚上开灯睡觉(21.0% vs 11.4%)、经常哭闹(24.4% vs 15.2%)、喜欢看亮的灯(59.7% vs 48.1%)、看电视时眼睛与电视不在同一水平(46.5% vs 31.3%)的比例较高,而母亲孕期经常吃鱼(71.4% vs 81.6%)、新生儿出生后吸氧(2.5% vs 7.9%)、幼儿常吃胡萝卜(89.9% vs 95.6%)、绿色蔬菜(95.8% vs 99.4%)、硬质食物(87.4% vs 95.9%),以及家里采光较好(76.5% vs 87.5%)、每天户外活动不少于0.5 h (92.4% vs97.4%)比例较低。多因素Logistic回归分析显示,幼儿户外活动时间不少于0.5 h (OR=0.277,95% CI=0.100~0.770)是屈光不正的保护因素,而幼儿母亲学历大专及以上(OR=1.314,95% CI=1.029~1.679)、只有父亲散光(OR=3.616,95% CI=1.317~9.924)、只有母亲散光(OR=3.185,95% CI=1.366~7.424)、父母均散光(OR=6.856,95% CI=1.104~42.570)、幼儿早产(OR=8.863,95% CI=2.700~29.096)、看电视时眼与电视不在同一水平(OR=1.976,95% CI=1.172~3.330)、喜欢看亮的灯(OR=1.619,95% CI=1.009~2.598)是屈光不正的危险因素。结论 滁州市幼儿屈光不正主要受母亲学历、父母亲视力、出生情况、用眼习惯和户外活动的影响。

     

    Abstract: Objective To investigate the influencing factors of infant's ametropia in Chuzhou City,and to provide a reference for targeted prevention and control measures for infant's ametropia. Method A total of 462 infants (924 eyes) aged 1-3 years old were selected in Chuzhou City during July to August in 2017. Questionnaire survey and refractive screening were performed. Logistic regression was used to analyze the association between infant's ametropia and family environment status,the status of perinatal period,baby period,and infant's daily life.Results There were 343 infants without ametropia and 119 infants with ametropia. Compared with the infants without ametropia,the following proportions in the ametropia group were higher: the proportions of mothers with college degree or above (64. 7% vs 52. 8%),only fathers with astigmatism (3. 2% vs 7. 6%),only mothers with astigmatism (4. 4% vs10. 1%),infants with premature birth (8. 4% vs 1. 7%),infants with passive smoking (38. 7% vs 25. 1%),infants sleeping with the light on at night (21. 0% vs 11. 4%),infants frequent crying (24. 4% vs 15. 2%),favorite to watching bright lights (59. 7% vs48. 1%),and watching TV with the different height between eye and TV (46. 5% vs 31. 3%). However,the following proportions in the ametropia group was lower: the proportions of mothers with frequent eating fish during pregnancy (71. 4% vs 81. 6%),infants with oxygen inhalation after birth (2. 5% vs 7. 9%),infants with frequent eating carrots (89. 9% vs 95. 6% 2) green vegetables (95. 8% vs99. 4%),hard foods (87. 4% vs 95. 9%),houses with better daylighting (76. 5% vs 87. 5%) and infants with outdoor activities over half an hour (92. 4% vs 97. 4%). The multivariate logistic regression analysis showed that the protective factors for the infant's ametropia were outdoor activities over half an hour (OR= 0. 277,95% CI= 0. 100-0. 770),and the risk factors were mother with college degree or above (OR= 1. 314,95% CI= 1. 029-1. 679),only fathers with astigmatism (OR= 3. 616,95% CI= 1. 317-9. 924),or only mother (OR= 3. 185,95% CI= 1. 366-7. 424),or both of parents (OR= 6. 856,95% CI= 1. 104-42. 570),infants with premature delivery (OR= 8. 863,95% CI= 2. 700-29. 096),infants watching TV with the different height between eye and TV (OR=1. 619,95% CI= 1. 009-2. 598),and infants favorite to watching bright lights (OR= 1. 619,95% CI= 1. 009-2. 598).Conclusion The infant's ametropia in Chuzhou City is mainly influenced by the education background of their mothers,vision status of their parents,birth condition,the habits of using eyes and outdoor activities.

     

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